(A)
Except as provided in division (B) of this section, premium rates charged for
coverage reinsured by the Ohio health reinsurance program shall be established
as follows:

(1)
For whole group reinsurance
coverage, one and one-half times the adjusted average market premium price
established by the program for that classification or group with similar
characteristics and coverage, with respect to the eligible employees of a small
employer and their dependents, all of whose coverage is reinsured with the
program, minus a ceding expense factor determined by the board of directors of
the program;

(2)
For individual
reinsurance coverage, five times the adjusted average market premium price
established by the program for an individual in that classification or group
with similar characteristics and coverage, with respect to an eligible employee
or the employee's dependents, minus a ceding expense factor determined by the
board.

(B)
Premium
rates charged for reinsurance by the program to a health insuring corporation
that is approved by the secretary of health and human services as a federally
qualified health maintenance organization pursuant to the "Social Security
Act," 49 Stat. 620 (1935), 42 U.S.C.A. 301, as amended, and
as such is subject to requirements that limit the amount of risk that may be
ceded to the program, may be modified to reflect the portion of risk that may
be ceded to the program.

Suspended by
130th General Assembly File No.
15, SB 9, §3, which provides that
during the period beginning on January 1, 2014, and expiring
January 1, 2018, the operation of this section is suspended. If the amendments
made by 42 U.S.C. 300gg-1 and 300gg-6, regarding the requirements related to
health insurance coverage, do not take effect January 1, 2014, or become
ineffective prior to the expiration of the suspension on January 1, 2018, then
this section, in either its present form or as later amended, again becomes
operational..